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by awestroke 1120 days ago
You forgot to explain why it is so dangerous for people to self diagnose
2 comments

The human body is way more complex than you think, even if you take this warning into account. Being confidently wrong about your own health based on random tidbits you know and ignoring the vast amount of knowledge you don't have is incredibly dangerous.
You are arguing against a strawman of your own making
No, I'm telling you why people who don't have training and a decades worth of education self diagnosing is dangerous. You're just deflecting because you don't like how obvious the answer is.
I assumed it was obvious like “only a fool has himself as a lawyer.”

Would you do your own code review?

It’s impossible to be objective regarding your own health. It’s an ethics violation and sanctionable for physicians to do so for themselves.

Yes, I review my own code all the time. Right before commit, I read through the diff carefully. Then of course my team reviews the code further.

The same approach works for my health, I MUST review and evaluate my health, it's just not reasonable to expect every single human in the world to go to a doctor every other week. If I come to suspect I have a serious illness, I take it to the next level of review - a doctor. You are painting a very dogmatic, black-and-white picture that cannot include this kind of nuanced approach

You’re arguing over semantics and seem to be focusing on minor ailments which is obviously not the point I was making.

Evaluating your health =/= reaching a diagnosis (or self-diagnosis). By all means, you should be conducting self-assessments and patients can absolutely diagnose/manage minor ailments. No one is suggesting you need to see a doctor for every ache, cold, fever or headache.

Part of our job in most patient encounters is providing education on when to escalate care/return for reassessment so you are clearly not expected to go to a doctor every other week.

What is dangerous is like in the rectal bleeding example I gave, one may Google their symptoms and “self-diagnose” hemorrhoids missing (consciously or subconsciously) that concurrent colon cancer is not uncommon (especially these days) and they should be seeing a doctor to assess their risk and plan further investigations.

This is a recent example that happened in a young physician whose delay in seeking care upstaged their cancer to stage IV.

> You are painting a very dogmatic, black-and-white picture that cannot include this kind of nuanced approach

Not really, I’m obviously speaking generally on a message board and not writing a position statement. I was also clearly talking in the context of potentially serious symptoms.

> Then of course my team reviews the code further.

This being the operative part of that. I would hope no one is pushing unreviewed commits to a production environment which is essentially what self-diagnosis is, except to your body.

With the wrong doctors it's downright dangerous to see a doctor.